| NPI | 1154515153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH C. ADAMS Owner 417-671-9856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2006009253) |
| Additional Taxonomies | 251S00000X (Licence: MO 101YP2500X) |
| Enumeration Date | 2007-09-02 |
| Last Update Date | 2012-03-28 |